Green, Terry L
Green, Terry L is an individual health care provider with primary practice located at 940 N.E. 13Th Street Suite 3000, Oklahoma City OK 73104-5099. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Green, Terry L can be contacted via phone (405) 271-7498.Contact Information
Primary practice address
940 N.E. 13Th Street Suite 3000
Oklahoma City OK 73104-5099
Phone: (405) 271-7498
Fax: (405) 271-4328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 65023 | Oklahoma |
Profile Details
| NPI number | 1083630115 |
|---|---|
| LBN Legal business name | Green, Terry L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Sep 16th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083630115 | NPPES |
| Oklahoma | MEDICAID | 200078150A |
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